Misty Nichols

Nurse Practitioner

Misty Nichols is an ANCC board-certified Family Nurse Practitioner. Misty started her career in healthcare as a Certified Nursing Assistant in 2005. She worked as a CNA in home care until she obtained her Associate of Science degree in Nursing at Lincoln Memorial University in Harrogate, TN in 2011. Misty was awarded the Frank Turner Endowed Nursing Scholarship and graduated with honors. She obtained her Registered Nurse Licensure in 2011. Misty completed her Bachelor of Science in Nursing degree in 2013 at King University in Bristol, TN and graduated with distinction. Misty graduated from Carson Newman University in Jefferson City, TN with a Master of Science in Nursing with a focus of Family Nurse Practitioner in 2022.

Misty has 12 years of robust nursing experience as a Registered Nurse. She has worked in a variety of healthcare settings including ICU, Emergency Department, Home Health Care, and surgical services in the Pre-Operative and Post Anesthesia Care Unit. Misty is excited to join Alliance Pain Management and collaborate with Dr. Pepper to provide comprehensive pain management to the community.

Dr. Todd Pepper

MEDICAL DIRECTOR

Dr. Todd Pepper is a physician versed in medical and interventional pain management, evidence-based practice, and multidisciplinary collaboration. Dr. Pepper is an accomplished leader as Medical Director of multiple outpatient pain clinics, a skilled educator proficient in teaching residents, fellows, pain clinics licensed providers, and attendings from various specialties. Dr. Pepper is an adaptable and industrious professional demonstrating flexibility in accommodating corporate demands and patient scheduling needs. Dr. Pepper has an attentive level of detail and commitment to excellence in patient care, medical legal implications of practice. Dr. Pepper advocates for a multimodal approach to pain management sensitive to public, legislative and professional focus on opioid abuse.

Dr. Pepper studies are as follows:

Education: BS, Biology, Philadelphia College of Pharmacy and Science (now University of the Sciences), Philadelphia, PA, 1997, Magna Cum Laude DO, Philadelphia College of Osteopathic medicine, Philadelphia, PA, 2001

Internship: ACGME-PGY-1, Osteopathic Rotating internship, Community Hospital of Lancaster, Lancaster, PA 2001Completed 12 months rotating internship and specialty and general medical services (Internal Medicine, Cardiology, Family Practice, OB/GYN, General Surgery, Emergency medicine, Anesthesiology, Pediatrics, Ophthalmology, Urology)

Residency: Anesthesiology, Temple University/Western Pennsylvania Hospital, Philadelphia, PA, 2005 Completed 36 months residency training in general and specialty anesthesia Rotations (Neurology, Cardiology, Pediatrics, Regional, Thoracic, Difficult Airway, Intensive Care)

Fellowship: Interventional Pain Management, Temple University/Western Pennsylvania Hospital Campus, 2006 Completed 12 months interventional pain management fellowship; instructed in interventional pain management procedures by anesthesia/pain management fellowship certified physicians. Performed large numbers of peripheral nerve blocks (greater and lesser Occipital, lateral femoral cutaneous, etc.), sympathetic plexus (stellate, celiac, lumbar, impar) injections, epidural (cervical, thoracic, lumbar) blocks and rhizotomies, selective cervical and lumbar nerve root blocks, lumbar percutaneous disc decompression, IDET, and spinal cord stimulator trials. Neurosurgical training in spinal cord stimulation trialing and implantation, occipital nerve simulation, and intrathecal medication pump trialing and implantation.

Managed pain consultation service at Western Pennsylvania Hospital and Allegheny General Hospital (including varied etiologies of chronic pain, acute pain, cancer pain, and epidural catheters).

Associations:

• American Society of Anesthesiologists, 2001-Present
• American Medical Association, 2001-Present
• American Osteopathic Association, 2001-Present
• American Academy of Pain Medicine
• Pennsylvania Osteopathic Association 2001-Present
• American Society of Interventional Pain Physicians
• Pittsburg Pain Society
• American Pain Society
• Pennsylvania Society of Anesthesiologists
• ACOFP, 1997-2001
• Phi Sigma Gamma Fraternity, 1997-Present
• Premedical Society, Philadelphia College of Pharmacy and Science,
• Member 1992-1997, Secretary, 1995-1997

Licensure and Certifications:

• Osteopathic Medical Licensing Examination (Pass), 2002
• Commonwealth of Pennsylvania, Unrestricted Licensure, 2005
• Pain Management Boards (Pass), American Board of Anesthesiology, September 2007
• Oral Anesthesiology Boards (Pass), American Board of Anesthesiology April 2007
• Written Anesthesiology Boards (Pass), American Board of Anesthesiology July 2006
• COMPLEX Part III (Pass), 2002
• COMPLEX Part II (Pass), 2001
• COMPLEX part I (Pass), 1999
• American Heart Association, BLS, Pennsylvania, currently Certified
• American Heart Association, ACLS, Pennsylvania, currently certified

Presentations and Honors:

• Multiple speaking engagements regarding Opana-ER to physicians, sponsored by Endo Pharmaceuticals, 2012
• Multiple speaking engagements regarding Lyrica to physicians, sponsored. By Pfizer pharmaceuticals, 2011
• Methadone: Pros and Cons, Second Annual Western Pennsylvania Hospital Pain Management Symposium, September 2008
• Complex Regional Pain Syndrome: Diagnosis and Treatment, First Annual Western Pennsylvania Hospital Pain Management Symposium, September 2007
• Upper and Lower Extremity Regional Techniques, Nemacolin Anesthesiology Conference, March 2006
• Adverse Effects of NSAIDS, Western Pennsylvania Hospital Institute For Pain Medicine, February 2006
• Anesthetic Considerations in Patients with Mediastinal Mass, Grand Rounds presentation, Allegheny General Hospital, 2004
• Outstanding Pediatric Intern, Community Hospital of Lancaster, 2002
• Outstanding Anesthesiology Intern, Community Hospital of Lancaster, 2002
• Recipient of Delaware Higher Education Commission Scholarship, 2000
• Recipient of Delaware Higher Education Commission Scholarship, 1999
• Recipient of Business and Professional Women’s Association Scholarship, 1997

Jessica Garcia, NP-C

She also has experience in neurology, and can treat pain related to neuropathy, CRPS, degenerative disc disorders, spinal injuries, and much more.